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South Dakota rates for HCPCS 43123

Prtl Esphg Thoracoabdl/Abdl Appr Ntrpstj/Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,920.77 / $3,920.77 / $3,920.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,552.26 / $3,920.77 / $4,371.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,765.08 / $9,305.57 / $11,631.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,552.26 / $6,003.32 / $12,429.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,929.68 / $8,757.66 / $31,893.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,021.19 / $10,047.36 / $13,789.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,592.85 / $9,673.87 / $11,874.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,920.09 / $7,541.88 / $8,598.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,929.68 / $7,720.79 / $12,010.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,530.10 / $10,436.90 / $10,436.90